Chad Brian Gooderham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Practice address

1060 Gaffney Rd
Fort Wainwright, AK 99703-5001

Phone

(907) 353-5286

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639153091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 SHANNON DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013811",
            "telephone_number": "907-457-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035001",
            "telephone_number": "907-353-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODERHAM",
        "first_name": "CHAD",
        "middle_name": "BRIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1927-033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua B Geiger, DNP, FNP-C
• Kimberly Ann Genkov, DNP, PMH-BC
• Daniel Wellin Gerstenfield, LCSW, BCD, MAC
• Vonya Gibbons, DNP, FNP-C
• Alice Fay Gibson, RN
• Kristen Joann Goodwin, RN
• Brian Gordon
• Christopher J. Gormley, PHARMD
• Christopher Graham, PHARMD
• Adrienne Camille Graves, AUD

• Family Nurse Practitioner in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.